MATTHEW BANACH

FOUNTAIN, CO
NPI1891255253
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CO  CSW.09925288)
Enumeration Date2019-03-21
Last Update Date2024-08-06
Business Address
MATTHEW BANACH LCSW
105 S MAIN ST
FOUNTAIN, CO 80817-2215
Phone number: 719-217-4609
Mailing Address
MATTHEW BANACH LCSW
105 S MAIN ST
FOUNTAIN, CO 80817-2215
Phone number: 719-217-4609
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